DR. JONAR R BONIFACIO (NPI# 1164436705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164436705 |
| Entity Type | Individual |
| Full Name | DR. JONAR R BONIFACIO |
| Credential | DDS |
| Practice Address |
1620 Alpine Blvd #121 Alpine CA 91901-1102 |
| Practice Telephone | 6194458896 |
| Practice Fax Number | 6194457339 |
| Mailing Telephone | 6194458896 |
| Mailing Fax Number | 6194457339 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 47454 | CA | Dental Providers |
| Street Address |
1620 ALPINE BLVD #121 |
| City | ALPINE |
| State | CA |
| Zip Code | 91901-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144204934 | Robert D Krause | Dentist | 1620 Alpine Blvd, Suite 121, Alpine, CA 91901-1102 | 2005-12-05 |
| 1194078865 | Barry Katzman, M.d., Inc., Apc | Optometrist | 1620 Alpine Blvd, #117, Alpine, CA 91901-1102 | 2012-10-18 |
| 1477734614 | Samuel David Dove | Dentist | 1620 Alpine Blvd, Suite 121, Alpine, CA 91901-1102 | 2007-11-15 |
| 1164639662 | Rachel Bader | Psychologist | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2007-05-16 |
| 1013071497 | Jennifer Kugel Fritz | Psychologist | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2006-12-20 |
| 1932293024 | Bryan Todd Stephenson | Physical Therapist | 1620 Alpine Blvd, Suite 211, Alpine, CA 91901-1102 | 2006-10-03 |
| 1780795476 | Joyce Patricia Kellawon | Internal Medicine | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2006-08-31 |
| 1962511659 | Cynthia L Jackson Dds Ms Inc | Dentist | 1620 Alpine Blvd, Ste 212, Alpine, CA 91901-1105 | 2006-08-29 |
| 1245275338 | Linda M Kampp | Internal Medicine | 1620 Alpine Blvd, Alpine, CA 91901-1102 | 2006-06-20 |
| 1124082565 | Julie S Hahn | Psychologist | 1620 Alpine Blvd, #211, Alpine, CA 91901-1102 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381302 | Mary Allison Redden | Registered Nurse | 1730 Alpine Blvd, Alpine, CA 91901 | 2017-08-14 |
| 1801332317 | Christine Angela Myers | Registered Nurse | 2003 Via Del Torrie, Alpine, CA 91901 | 2017-01-09 |
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1407136161 | Myrna Apura Mayer | Massage Therapist | 2754 Alpine Blvd., Alpine, CA 91901 | 2011-08-25 |
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1295915064 | Jessica Lynne Fonte | Counselor | 2120 Alpine Blvd., Alpine Special Treatment Center, Alpine, CA 91901 | 2007-11-09 |
| 1740487008 | Elite Hospital Care, Inc | Internal Medicine | 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 | 2007-06-29 |
| 1780706028 | Martin Gorence | Pharmacist | 1665 Alpine Bld, Alpine, CA 91901 | 2007-04-06 |
| 1720100902 | Diane Eugenia Janssen | Marriage & Family Therapist | 2065 Alpine Blvd, Ste 3, Alpine, CA 91901 | 2007-04-06 |
| Find all providers in zip 91901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1104030097 | Jerry Len Eoff | Dentist | 405 East Avenue E, Alpine, TX 79830 | 2007-05-09 |
| 1245302751 | Garon E Larsen | Dentist | 70 West Canyon Crest Road, Alpine, UT 84004 | 2006-11-14 |
| 1528525441 | Alpine Dental Care, LLC | Dentist | 363 Deer Lane, Alpine, WY 83128 | 2019-02-27 |
| 1376099044 | Alpine Family Dental Care P.C. | Dentist | 363 Deer Lane, Alpine, WY 83128 | 2016-08-31 |
| 1538475231 | Neda Mobasher | Dentist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2010-08-19 |
| 1326352071 | Randall M Stucki Family Dentistry PC | Dentist | 75 W Main Street Ct Ste 200, Alpine, UT 84004-5602 | 2010-08-04 |
| 1598922460 | Alpine Dentistry | Dentist | 20 W Main Street Ct, Suite 100, Alpine, UT 84004-1889 | 2008-05-19 |
| 1346435179 | Melvin Schmitz | Dentist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2007-09-14 |
| 1275693426 | Gregory Brooks Finn | Dentist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2006-12-11 |
| Find all providers in ALPINE | ||||
Please comment or provide details below to improve the information on DR. JONAR R BONIFACIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.